Healthcare Claims Specialist

Medical Claims SpecialistA Medical Biller plays a crucial role in the healthcare industry, responsible for submitting claims to insurance companies.The successful candidate will process data from medical coders, ensuring timely payment of claims. Key responsibilities include verifying insurance coverage, reviewing denied claims, and assisting patients with...

Job SummaryWe are seeking a detail-oriented professional to join our team as an Insurance Claims Specialist.Key Responsibilities:Verify patient insurance coverage and benefits, both online and via phone calls.Code claims using acceptable codes provided by the healthcare facility.Review claims for potential denials and ensure compliance with insurer...

Job Title: Medical Claims SpecialistPosition Summary:The role of a Medical Claims Specialist is pivotal within our healthcare team, focused on scrutinizing medical claims, investigating rejections and denials, and documenting associated account activities.This position demands an in-depth understanding of eligibility criteria and payment methodologies, along...

Key Responsibilities:Review and analyze contracts related to payment disputes.Job Requirements:A minimum of 6-12 months of experience in Healthcare Account Receivables/Collections within a BPO environment, including claims payment processing, claim status tracking, medical billing, AR follow-ups, and handling denials and appeals with outbound healthcare...

Key Responsibilities:Review and analyze contracts related to payment disputes.Work from the Provider's perspective.Coordinate with insurance companies to confirm claim statuses and recover unpaid claims.Manage claims processing, denial handling, and claim status updates.Job Requirements:A minimum of 6-12 months of experience in Healthcare Account...

Job Title: Healthcare Utilization SpecialistWe are seeking a skilled and experienced Healthcare Utilization Specialist to join our team. The ideal candidate will have a strong background in healthcare, excellent analytical skills, and the ability to work independently.Job Description:The Healthcare Utilization Specialist will be responsible for assessing and...

Job OverviewMedical Billing Claims Specialist PositionLocation: Alabang, MuntinlupaWork Setup: OnsiteShift: Night ShiftAbout the JobWe seek a highly skilled and experienced Medical Billing Claims Specialist to join our team.ResponsibilitiesMake outbound calls to insurance companies and payors to collect essential information.Conduct all calls in full...

QualificationsAt least 1 year of work experience in customer service, preferably in a healthcare account/healthcare industry.Strong communication skills (verbal and written) with a customer-first mindset.Knowledge of healthcare processes such as eligibility, claims, billing, or medical terminology is an advantage.Ability to work in a fast-paced, high-volume...

QualificationsAt least 1 year of work experience in customer service, preferably in a healthcare account/healthcare industry.Strong communication skills (verbal and written) with a customer-first mindset.Knowledge of healthcare processes such as eligibility, claims, billing, or medical terminology is an advantage.Ability to work in a fast-paced, high-volume...

OverviewPOSITION TITLE: Medical Billing and Insurance Claims SpecialistWORK LOCATION: Alabang, MuntinlupaWORK SETUP: OnsiteWORK SCHEDULE: Night ShiftQualificationsMinimum of 1 year of experience in medical billing, insurance claims, or a related fieldMust have at least 6 months of BPO experience handling healthcare accountsStrong English proficiency, both...